Effect of Acupressure Applied Before Cystectomy on Preoperative Anxiety Level

Mersin University60 enrolled

Overview

This randomized controlled study evaluates the effect of acupressure application on the anxiety level patients undergoing cystectomy surgery. The hypothesis of this study is that acupressure reduces anxiety levels and stabilizes hemodynamic parameters.

In the study, 60 patients will randomly assigned to acupressure and placebo acupressure groups. To the acupressure group (n = 30), an average of 15 minutes will be applied to the HT7 (heart), LI4 (liver) and EX-NH3 (the point between the two eyes). In the placebo acupressure group (n = 30), the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

TRIPLE

Enrollment

Conditions

Anxiety Hemodynamic Instability

Interventions

AcupressureOTHER

The experimental group will start with HT7 points and continue LI4 and EX-NH3 points. The application will be carried out by determining the priority order of the points with the draw. Attention will be paid to the intensity and duration of the pressure deemed appropriate. Since the individuals' responses will differ, the stiffness and pressure will be adjusted according to the individual's sensitivity not to cause tissue damage. Before starting the application, around the area to be pressed for 20-30 seconds will be gently rubbed with palm. With the gentle rubbing of the surrounding tissue, the tension and tissue sensitivity in warming, relaxing and preparatory will be reduced, and the tissue will be relieved. After, the point determined will be pressed manually for 2 minutes.

Placebo acupressureOTHER

In the placebo acupressure group , the points 1.5 cm away from the HT7, LI4, and EX-NH3 points will be applied for an average of 15 minutes. Less pressure will be applied.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Agreeing to participate in the research (signing the Informed Consent Form), * Conscious and cooperative * Speaks and understands Turkish, * 18-65 years old, * Before surgery, * Stable general condition, * No sensitivity in the area where acupressure/placebo acupressure will be applied, * 15 July 2022 - 15 July 2023 hospitalized in the urology clinic, * No active COVID-19 infection, * Patients without any psychiatric diagnosis will be included. Exclusion Criteria: * Those who do not agree to participate in the research (who do not sign the Informed Consent Form) * Conscious and uncooperative, * Not speaking or understanding Turkish, * Not between the ages of 18-65, * No surgical intervention planned, * The planned emergency surgical intervention, * Unstable general condition, * Sensitivity in the area where acupressure/placebo acupressure will be applied, * Active COVID-19 infection, * 15 July 2022 - 15 July 2023 who did not stay in the urology clinic, * Patients with current psychiatric diagnosis will not be included in the study.

Locations (1)

Turkey, Mersin University,

Mersin, Turkey/Mersin,Yenişehir, Turkey (Türkiye)

Outcomes

Primary Outcomes

Anxiety evaluated using the State Anxiety Scale

Scores ranging from 20 to 80 points are obtained in the scale. In the total score obtained from the scale in scoring the scale, 0-19 points indicate the absence of anxiety, 20-39 points indicate mild anxiety, 40-59 points indicate moderate anxiety, and 60-79 points indicate severe anxiety level. Higher state anxiety scores indicate that anxiety level is also high